Individual
AMY D. MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 W ROLLIN ST, EDGERTON, WI 53534-1126
(608) 282-8050
Mailing address
610 W ROLLIN ST, EDGERTON, WI 53534-1126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10265-33
WI
Other
Enumeration date
03/17/2006
Last updated
10/28/2024
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